Article: Fast-flow lingual vascular anomalies in the young patient: Is imaging diagnostic?

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TitleFast-flow lingual vascular anomalies in the young patient: Is imaging diagnostic?
AuthorsKhong, PL1 2
Burrows, PE2
Kozakewich, HP2
Mulliken, JB2
Issue Date2003
PublisherSpringer Verlag. The Journal's web site is located at http://link.springer.de/link/service/journals/00247/index.htm
CitationPediatric Radiology, 2003, v. 33 n. 2, p. 118-122 [How to Cite?]
AbstractAim: To describe the imaging findings (MR imaging and angiography) of high-flow vascular anomalies of the tongue, hemangiomas and arteriovenous malformations (AVMs), with emphasis on the discrepant imaging findings in lingual AVMs. Materials and methods: Retrospective review of clinical records, histologic reports and imaging studies of five consecutive patients with high-flow lingual vascular anomalies. Results: One patient had hemangioma (aged 1 month) and four patients had AVMs (aged 15 months, 6, 24, and 33 years). Diagnosis was made on the basis of histology in four lesions and was based on typical clinical history in one lesion. MR imaging and angiographic findings of the hemangioma were typical, but similar findings of focal hyperintense mass on T2-weighted images and angiographic stain were seen in three AVMs (patients aged 15 months, 6 and 33 years). On angiography, there was no nidus or direct arteriovenous (AV) shunting in one AVM (patient aged 15 months). The fourth AVM had typical MR imaging and angiographic findings. Conclusion: The imaging findings in lingual AVMs can be atypical or inconclusive and can mimic hemangiomas, especially in the young patient. Since treatment depends on accurate diagnosis, biopsy may be necessary for lesions with inconclusive imaging findings.
ISSN0301-0449
2011 Impact Factor: 1.674
2011 SCImago Journal Rankings: 0.094
ISI Accession Number IDWOS:000180899700007
ReferencesReferences in Scopus
DC Field
Value
dc.contributor.authorKhong, PL
dc.contributor.authorBurrows, PE
dc.contributor.authorKozakewich, HP
dc.contributor.authorMulliken, JB
dc.date.accessioned2012-06-26T06:13:38Z
dc.date.available2012-06-26T06:13:38Z
dc.date.issued2003
dc.description.abstractAim: To describe the imaging findings (MR imaging and angiography) of high-flow vascular anomalies of the tongue, hemangiomas and arteriovenous malformations (AVMs), with emphasis on the discrepant imaging findings in lingual AVMs. Materials and methods: Retrospective review of clinical records, histologic reports and imaging studies of five consecutive patients with high-flow lingual vascular anomalies. Results: One patient had hemangioma (aged 1 month) and four patients had AVMs (aged 15 months, 6, 24, and 33 years). Diagnosis was made on the basis of histology in four lesions and was based on typical clinical history in one lesion. MR imaging and angiographic findings of the hemangioma were typical, but similar findings of focal hyperintense mass on T2-weighted images and angiographic stain were seen in three AVMs (patients aged 15 months, 6 and 33 years). On angiography, there was no nidus or direct arteriovenous (AV) shunting in one AVM (patient aged 15 months). The fourth AVM had typical MR imaging and angiographic findings. Conclusion: The imaging findings in lingual AVMs can be atypical or inconclusive and can mimic hemangiomas, especially in the young patient. Since treatment depends on accurate diagnosis, biopsy may be necessary for lesions with inconclusive imaging findings.
dc.description.natureLink_to_subscribed_fulltext
dc.identifier.citationPediatric Radiology, 2003, v. 33 n. 2, p. 118-122 [How to Cite?]
dc.identifier.epage122
dc.identifier.isiWOS:000180899700007
dc.identifier.issn0301-0449
2011 Impact Factor: 1.674
2011 SCImago Journal Rankings: 0.094
dc.identifier.issue2
dc.identifier.pmid12557068
dc.identifier.scopuseid_2-s2.0-0037507054
dc.identifier.spage118
dc.identifier.urihttp://hdl.handle.net/10722/150876
dc.identifier.volume33
dc.languageeng
dc.publisherSpringer Verlag. The Journal's web site is located at http://link.springer.de/link/service/journals/00247/index.htm
dc.publisher.placeGermany
dc.relation.ispartofPediatric Radiology
dc.relation.referencesReferences in Scopus
dc.subject.meshAdult
dc.subject.meshArteriovenous Malformations - Diagnosis - Therapy
dc.subject.meshBoston
dc.subject.meshChild
dc.subject.meshEmbolization, Therapeutic
dc.subject.meshFemale
dc.subject.meshHemangioma - Diagnosis - Therapy
dc.subject.meshHumans
dc.subject.meshInfant
dc.subject.meshMagnetic Resonance Imaging
dc.subject.meshMale
dc.subject.meshNeoplasm Staging
dc.subject.meshRetrospective Studies
dc.subject.meshSoft Tissue Neoplasms - Diagnosis - Therapy
dc.subject.meshTongue - Blood Supply - Radiography
dc.subject.meshTongue Diseases - Diagnosis - Therapy
dc.subject.meshTongue Neoplasms - Diagnosis - Therapy
dc.subject.meshTreatment Outcome
dc.subject.meshVeins - Abnormalities
dc.titleFast-flow lingual vascular anomalies in the young patient: Is imaging diagnostic?
dc.typeArticle
Author Affiliations
  1. The University of Hong Kong
  2. Children's Hospital Boston